Crain’s Detroit Business had an interesting article about the difficulty in providing quality nursing home care when profits are the major concern.  Nursing homes complain about the amounts Medicaid pays nursing homes for services.

David LaLumia, CEO of the Health Care Association of Michigan, said Medicaid payment rates often do not cover nursing home costs. “It is a challenge with the low Medicaid rates,” LaLumia said. “Financing Medicaid and Medicare in Michigan will change to more managed care” administered by health plans and accountable care organizations in the next several years, he said.

Over the past several years, the state has been increasing payments for home health services to keep as many patients out of higher-cost nursing homes, LaLumia said.

“We are supportive of that,” he said. “Not everybody needs to be in a nursing home.”

Chris Berry, Witzke Berry Carter & Wander PLLC Chris Berry, an elder care attorney with Witzke Berry Carter & Wander PLLC, in Bloomfield Hills, said he represents families on Medicaid who sometimes have a difficult time placing relatives in high-quality nursing homes.

“When a nursing home is needed, we want our clients to get into the best one possible,” Berry said. “Some nursing homes play a little game. We accept Medicaid, they say, but we don’t have any Medicaid beds available. But if it is private pay or Medicare, they have beds.”

Kelly Gasior, vice president of strategy and housing operations with Livonia-based CHE Trinity Senior Living Communities, acknowledged there often is a waiting list for Medicaid patients, especially those converting from Medicare after their 100-day annual benefits run out.

 

 

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